Individual
MRS. ELIZABETH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1855 LAKELAND DR, SUITE R 204, JACKSON, MS 39216-4913
(601) 982-5376
(601) 982-5377
Mailing address
1855 LAKELAND DR, SUITE R 204, JACKSON, MS 39216-4913
(601) 982-5376
(601) 982-5377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1448
MS
101YM0800X
Mental Health Counselor
Primary
1448
MS
101YP2500X
Professional Counselor
1448
MS
106H00000X
Marriage & Family Therapist
1448
MS
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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